Individual provider Active NPI

Eliza Marie Huebner, M.D.

  • Pediatrics Physician
  • Arnold, MD
National Provider Identifier
1427410455
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0087433 Issued in MD
Practice address
1521 Ritchie Hwy Ste 201
Arnold, MD 21012-2706
Phone
(443) 354-4504
Fax
(443) 352-0685
NPI assigned
Mar 29, 2016
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0087433 MD Primary

Addresses

Primary practice location

1521 Ritchie Hwy Ste 201
Arnold, MD 21012-2706

Mailing address

1521 Ritchie Hwy Ste 201
Arnold, MD 21012-2706
Phone (443) 354-4504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160930001282 PA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6406143601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0087433MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Pediatrics, P.a. Pediatrics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1427410455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 RITCHIE HWY STE 201",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122706",
            "telephone_number": "443-354-4504",
            "fax_number": "443-352-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 RITCHIE HWY STE 201",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122706",
            "telephone_number": "443-354-4504",
            "fax_number": "443-352-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEBNER",
        "first_name": "ELIZA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0087433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

Verify at the official NPI Registry.